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Simple Interop for Healthcare in the US 25 January 2009 This work is licensed under the Creative Commons Attribution 3.0 United States License. To view a copy of this license, visit  http://creativecommons.org/licenses/by/3.0/us/  or send a letter to Creative Commons, 171 Second Street, Suite 300, San Francisco, California, 94105, USA.  If this work is shared or adapted the original work should be attributed to Wes Rishel of McKinleyville, CA and include a citation to  http://blogs.gartner.com/wes_rishel
Topics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Topics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],
The Facts of Life in Health Information Technology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],http://blogs.gartner.com/wes_rishel/2010/01/02/rant-on-heath-information-technology-asynchrony/
Topics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],
Healthcare “Simple Interop” Is ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Propositions  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],This slide is incomplete and the propositions must be examined
The Goal (A Challenge): Start by Doing  Slightly  Better Than the Fax Machine
Simple Interop: Three Models for Sharing Identifiable Patient Data ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Routine Care PHR
Simplifying Assumptions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Scope of Simple Interop ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Topics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],
Use Cases:  Simple Referral PCP to Specialist (no HIE) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],http://blogs.gartner.com/wes_rishel/2010/01/04/simple-interop-use-cases/
Use Cases:  Care Transitions/Routine Care Coordination ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],http://blogs.gartner.com/wes_rishel/2010/01/04/simple-interop-use-cases/
Use Cases:  ED Transitions of Care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],http://blogs.gartner.com/wes_rishel/2010/01/04/simple-interop-use-cases/
Use Cases:  Structured Labs and Other Diagnostic Reports ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Use Cases:  Patient Engagement ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],http://blogs.gartner.com/wes_rishel/2010/01/04/simple-interop-use-cases/
Use Case:  Pre-standard or non-standard structured formats.  ,[object Object],[object Object],[object Object],[object Object],http://blogs.gartner.com/wes_rishel/2010/01/04/simple-interop-use-cases/
Topics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],
Simple Interop at Its Simplest
Simple Interop Multiple Roles
Topics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],
Definition: Health Domain Name ,[object Object],[object Object],[object Object]
Definition: Health Email Address ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Definition: Health Internet Node  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Definition: Health Internet Registrar  ,[object Object]
Topics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],
Personal Health Record: Minimal Functions ,[object Object],[object Object],[object Object],[object Object]
PHR Approach ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PHR
Topics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],
Payload:  MIME Based Using These Principles ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Payload: Upward Compatibility in Structured Formats ,[object Object],[object Object],[object Object],[object Object]
Reliable Messaging ,[object Object],EHR EHR Secure Email User Secure Email User
Delivery Reliability Concerns: What If … ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
How to Deal With Message Reliability Concerns ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
A Possible “Simple Interop” Approach to  Reliable Messaging Using SMTP ,[object Object],[object Object],[object Object],[object Object],[object Object]
Topics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],
Two Phases of Roll-Out  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Quick Extensive This slide needs some conceptual work
Topics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],
Business Opportunities ,[object Object],[object Object],[object Object],[object Object],[object Object]
Health Internet Node Add-on Services  (Not Mandatory – Business Opportunities) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],A health Internet node could “grow up” to be an HIE.
Health Internet Other Business Opportunity: Interface Appliance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Some services once thought of as requiring an HIE could be provided without an HIE
Recent Considerations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Revision History 21 Jan 10 original 23 Jan 10 typos 24 Jan 10 added use cases 25 Jan 10 Removed disease registry discussion to avoid complications about discussing consent for aggregation (other than the PHR). Miscellaneous changes based on comments.

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Simple Interop for Healthcare (Wes Rishel)

  • 1. Simple Interop for Healthcare in the US 25 January 2009 This work is licensed under the Creative Commons Attribution 3.0 United States License. To view a copy of this license, visit http://creativecommons.org/licenses/by/3.0/us/ or send a letter to Creative Commons, 171 Second Street, Suite 300, San Francisco, California, 94105, USA. If this work is shared or adapted the original work should be attributed to Wes Rishel of McKinleyville, CA and include a citation to http://blogs.gartner.com/wes_rishel
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  • 8. The Goal (A Challenge): Start by Doing Slightly Better Than the Fax Machine
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  • 20. Simple Interop at Its Simplest
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  • 30. PHR
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  • 45. Revision History 21 Jan 10 original 23 Jan 10 typos 24 Jan 10 added use cases 25 Jan 10 Removed disease registry discussion to avoid complications about discussing consent for aggregation (other than the PHR). Miscellaneous changes based on comments.

Editor's Notes

  1. Meaningful Use and Certification: Are the EHR Incentives Worth the Effort? Healthcare November 8-10, 2009 La Quinta Resort & Club La Quinta, CA Wes Rishel and Tom Handler This presentation, including any supporting materials, is owned by Gartner, Inc. and/or its affiliates and is for the sole use of the intended Gartner audience or other authorized recipients. This presentation may contain information that is confidential, proprietary or otherwise legally protected, and it may not be further copied, distributed or publicly displayed without the express written permission of Gartner, Inc. or its affiliates. © 2009 Gartner, Inc. and/or its affiliates. All rights reserved. Notes accompany this presentation. Please select Notes Page view. These materials can be reproduced only with written approval from Gartner. Such approvals must be requested via e-mail: vendor.relations@gartner.com. Gartner is a registered trademark of Gartner, Inc. or its affiliates.
  2. An Older Person’s Joke There are these two young fish swimming along and they happen to meet an older fish swimming the other way, who nods at them and says “Morning, boys. How’s the water?” And the two young fish swim on for a bit, and then eventually one of them looks over at the other and goes “What the hell is water?” (From David Foster Wallace, novelist, speaking at Kenyon College, 2005.)